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Integrating the Healthcare Enterprise

Integrating the Healthcare Enterprise. What’s New in IHE: New Profiles & New Options. John Paganini IDX Systems. Rita Noumeir Ph.D. Softmedical. Year 5 Additions to IHE Technical Framework. 2 New Integration Profiles Reporting Workflow Evidence Documents

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Integrating the Healthcare Enterprise

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  1. Integrating the Healthcare Enterprise What’s New in IHE:New Profiles & New Options John Paganini IDX Systems Rita Noumeir Ph.D. Softmedical

  2. Year 5 Additions toIHE Technical Framework • 2 New Integration Profiles • Reporting Workflow • Evidence Documents • 1 New Option for Access to Radiology Information • Multiple Sources • Profile reorganization: Workflow, Content and Infrastructure

  3. Scheduled Workflow Charge Posting Presentation of Grouped Procedures Reporting Workflow Post-Processing Workflow Patient Information Reconciliation Consistent Presentation of Images Simple Image and Numeric Reports Evidence Documents Key Image Notes Access to Radiology Information Basic Security IHE Integration Profiles – Year 5

  4. Access to Radiology Information Basic Security Infrastructure Profile • Addresses departmental issues

  5. Scheduled Workflow Patient Informa-tion Reconci-liation Charge Posting Presentation of Grouped Procedures Reporting Workflow Post-Processing Workflow Workflow Integration Profile • Manages the workflow process by providing worklists and monitoring the progress and completion of tasks

  6. Simple Image and Numeric Reports Consistent Presentation of Images Evidence Documents Key Image Notes Content Integration Profile • describes the creation, storage, management, retrieval and general use of a particular type of content object

  7. Evidence Documents Profile

  8. Header: Report Type: OB / Gyn ….. BPD Findings: ... ….. Query / Retrieve Image Refs.: Evidence Document Stored Storage Commitment Evidence Documents

  9. Evidence Documents • Measurements and coded data • DICOM SR document • Created by either Acquisition Modality or Evidence Creator • Produced during acquisition or post-processing workflows • Interpreted along with the images

  10. Evidence Documents Examples • Mammography CAD • Chest CAD • OB-Gyn Ultrasound Measurements • Vascular Ultrasound Measurements • Vascular Intervention Results • Echocardiography Measurements

  11. Header: Report Type: OB / Gyn Radiology Report Header: ….. BPD BPD Report Type: OB / Gyn Findings: ... ... ….. ….. ….. Findings: Gestational Impressions: Age ... Image Refs.: Image Refs.: Simple Image & Numeric Report Evidence Documents Interpretation

  12. Reporting Workflow Profile

  13. Reporting Workflow Mechanisms • Worklists for managing reporting tasks • Tasks include references to images and evidence documents to be interpreted • Status tracking of reporting tasks

  14. Reporting Workflow • Reporting tasks include: • Interpretation • Interpretation and dictation • Transcription • Verification • Review • Comparison • Coding

  15. Work Item Claimed ReportingWorklist Reporting Procedure Step STARTED Store Report Diagnostic Reports ……....……… Issue Reports Reporting Procedure Step STARTED Reporting Workflowwith Report Manager Grouped with Image Manager RIS PACS &Report Mgr RetrieveImages Reporting Procedure Step COMPLETED Reporting Procedure Step COMPLETED

  16. Reporting Workflow:Technical Details • Based on DICOM • General Purpose Worklist • General Purpose Scheduled Procedure Step • General Purpose Performed Procedure Step • Report Manager Actor schedules and manages reporting tasks • Report Creator Actor performs reporting tasks • Report Creator tells the Report Manager what task has been performed and suggests the next one

  17. Diagnostic Reporting Use Cases • Predefined report • Direct report creation • Interpretation and dictation • Transcription • Verification • Double reading, Comparison, Review, Over read • Task deferred • Partial completion

  18. The results are normal I will also verify the report Predefined report • The user chooses a report from a list of pre-configured draft reports

  19. Put this task back on the worklist. Task deferred • The user selects the task and decides not to perform it

  20. Bad data quality! New acquisition is required Partial Completion • The user begins the task and then decides that this task cannot be completed at this moment

  21. Send report back to the transcriptionist for correction Verification • The user may need to correct the report's content by dictation

  22. Access to Radiology Information ProfileMultiple Sources Option

  23. Multiple Sources Motivation • Information may be scattered over multiple archives • Ultrasound mini-PACS • Cardiology PACS • Another Radiology PACS • “Legacy” Archive

  24. ... Multiple Query Consolidated view of results Single user request Multiple Sources Query

  25. Multiple Sources Details • Queries to multiple archives are triggered by only one user request • Duplicate instances are managed and redundant retrievals are avoided • Partial results are managed

  26. More Information • www.rsna.org/IHE • IHE Technical Framework for Year 5 – V5.5 Final Text • Non-Technical Brochures : • IHE Primer and IHE FAQ • IHE Integration Profiles: Guidelines for Buyers • IHE Connectathon Results • IHE Integration Statements from Vendors

  27. Questions? Ask your vendors: Which IHE Profiles do they support on which systems? www.rsna.org/IHE

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